Tib/per revasc stent & ather 37231 at Robert Wood Johnson University Hospital
1 Robert Wood Johnson Pl, New Brunswick, NJ · RWJBarnabas Health · · NPI 1346243375
$5,741.00
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$34,844.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$573.08 with Wellpoint vs $43,754.63 with Emblem Health — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| Wellpoint | NJ Family Care | $573.08 | ↓ -90% |
| United Healthcare | Community Plan | $4,731.81 | ↓ -18% |
| Aetna | Better Health | $5,181.30 | ↓ -10% |
| Fidelis Care | NJ Family Care | $5,575.04 | ↓ -3% |
| Aetna | HMO | $6,992.00 | ↑ +22% |
| Aetna | PPO | $6,992.00 | ↑ +22% |
| Horizon Blue Cross Blue Shield of New Jersey | NJ Health | $9,104.24 | ↑ +59% |
| United Healthcare | Oxford Metro | $10,770.00 | ↑ +88% |
| United Healthcare | Nexus | $11,371.00 | ↑ +98% |
| Amerihealth | Local Value | $12,191.91 | ↑ +112% |
| United Healthcare | Oxford Commercial | $12,671.00 | ↑ +121% |
| United Healthcare | Commercial | $13,378.00 | ↑ +133% |
| Amerihealth | Regional Preferred | $16,711.18 | ↑ +191% |
| Horizon Blue Cross Blue Shield of New Jersey | Omnia | $18,362.78 | ↑ +220% |
| Clover Health | Medicare Advantage | $20,835.54 | ↑ +263% |
| Humana | Medicare | $20,835.54 | ↑ +263% |
| Aetna | Medicare | $20,835.54 | ↑ +263% |
| Horizon Blue Cross Blue Shield of New Jersey | Medicare Advantage | $20,835.54 | ↑ +263% |
| Wellpoint | Medicare Advantage | $20,835.54 | ↑ +263% |
| Fidelis Care | Medicare Advantage | $20,835.54 | ↑ +263% |
| First Health | Commercial | $20,906.40 | ↑ +264% |
| Cigna | HMO | $20,923.82 | ↑ +264% |
| United Healthcare | Medicare | $21,252.25 | ↑ +270% |
| Cigna | PPO | $22,038.83 | ↑ +284% |
| Horizon Blue Cross Blue Shield of New Jersey | State Benefit Plan | $25,293.25 | ↑ +341% |
| Horizon Blue Cross Blue Shield of New Jersey | PIP | $26,310.70 | ↑ +358% |
| Horizon Blue Cross Blue Shield of New Jersey | Managed | $26,697.47 | ↑ +365% |
| Horizon Blue Cross Blue Shield of New Jersey | Non-Managed | $26,948.34 | ↑ +369% |
| Horizon Blue Cross Blue Shield of New Jersey | Worker's Comp | $28,990.20 | ↑ +405% |
| Wellcare | Ambetter Health Commercial | $41,462.72 | ↑ +622% |
| Emblem Health | Commercial | $43,754.63 | ↑ +662% |
| Qualcare Inc | PPO | not published by hospital | — |
| Qualcare Inc | HMO/POS | not published by hospital | — |
| Qualcare Inc | WC | not published by hospital | — |
Visitor-reported prices
Comments
Tib/per revasc stent & ather 37231 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Trinitas Regional Medical Center | Elizabeth | $5,855.00 | $6,043.73 – $39,249.08 |
| Cooperman Barnabas Medical Center | Livingston | $6,839.00 | $10,008.64 – $40,292.00 |
| Community Medical Center | Toms River | $3,786.00 | $10,249.81 – $39,052.83 |
| Clara Maass Medical Center | Belleville | $3,986.00 | $9,888.05 – $40,090.54 |
| Newark Beth Israel Medical Center | Newark | $4,881.00 | $6,221.49 – $40,292.00 |
| Jersey City Medical Center | Jersey City | $5,339.00 | $7,821.30 – $42,082.35 |
| Monmouth Medical Center | Long Branch | $5,419.00 | $19,776.10 – $39,552.40 |
| Bayshore Medical Center | Holmdel | $19,875.58 | $19,875.58 – $23,850.69 |